NPI 1043506942

Derek Martinez, MD

Practitioner Neurological Surgery Physician Peoria, IL

Practice location

Address: 530 NE Glen Oak Ave, Peoria, IL 61637-0001
Phone: (309) 655-2642

Registered specialties

Neurological Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 125060255 (IL)

Other Neurological Surgery providers in Illinois →

Registry record

NPI: 1043506942
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2011
Record last updated: 24 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.